Resp Study Guide 1. Describe mucous and the purpose it serves in the respiratory system. Be able to describe normal and abnormal color and consistency. 2. Be able to explain the mechanics of inhaling and exhaling. What happens to the position of the diaphragm. 3. Describe surfactant and the purpose it serves. 4. It is important to know how oxygen is carried to the tissues of the body. 5. Describe atelectasis and bronchitis. What is the difference? Are they both temporary or permanent conditions. 6. Does excessive alcohol use contribute to throat or mouth cancer? What else contributes 7. What allergy would prohibit a person from getting a flu vaccine? 8. After a patient does deep breathing exercises and coughs to bring up thick and excessive mucous what would you instruct them to do next? 9. Look up the CDC and see who they recommend to take a flu immunization. 10. How long is a person with a cold contagious? 11. If you are caring for a patient who you suspect may have a sinus infection, what do you think they would be complaining of? 12. Why would a patient with sleep apnea be complaining of feeling fatigued all the dime? 13. If a patient has undergone a laryngectomy what do you think would be his main problem that you need to address? 14. What would you instruct a patient to do is they are experiencing epistaxis? 15. Would a patient with pharyngitis caused by a virus need an antibiotic and why or why not? 16. If you have a cold, what actions can you take to prevent transmitting it to others? 17. If you are caring for an adult that just had a tonsillectomy do you think it would be ok for them to drink liquids that have red dye. Why or why not? What is our priority concern after this surgery and what would we look for? 18. What do you think would be a risk factor for a person with a family history of laryngeal cancer that may cause them to develop laryngeal cancer? 19. If your patient asks you if antibiotics will be ordered for his diagnosis of bronchitis what would you tell him? 20. Your patient had a TB skin test 48 hours ago. He is back for you to read his skin test. You think the test is positive, how many millimeters would a positive induration be? (What factors would be considered to determine measurement of positive test—what system ?) 21. What do you think would cause a COPD patient to have distended neck veins. 22. How does a CPAP machine help a person with sleep apnea? Explain what you would tell the person. 23. What is Pneumocystis Pneumonia and what diagnosis might you expect to see this type of Pneumonia? 24. What is peak flow meter and how would you instruct the asthmatic patient to use it? 25. Why is it important to perform an occupational health assessment? 26. Why do patients with emphysema have nutritional deficiencies and what would you instruct them to do to improve their nutritional status? 27. If you are helping your patient to ambulate and his O2 saturation goes from 93% to 88% what would you do? 28. Why is it important to include a respiratory patient’s, or any patient for that matter, caregiver in the discharge planning process? 29. Describe bilateral basilar crackles. Should you take immediate action if you hear this sound? 30. Can a patient with a shellfish allergy have a CT scan with contrast? 31. What would you tell a person with Allergic Rhinitis to avoid in order to prevent triggers? 32. Do you think that a patient with weak cough reflex can effectively clear his airway? 33. If you are caring for a patient who is at high-risk for aspiration what position would you place him in to prevent aspiration. 34. How many days of sputum collection would need to be done for a patient who has a positive TB skin test? What is the best time of day to collect the sputum? 35. Why is it important for a patient who is positive for TB to take their medication regularly? 36. Why is it important for workers in high-risk occupations that exposes them to inhaling harmful substances need to use protective equipment? 37. Explain a thoracentesis and the position the person needs to be in for the procedure? 38. What is pursed-lip breathing and who should be practicing this? 39. Can positioning help a patient with COPD to breath better? 40. Can using a bronchodilator prior to exercise be beneficial and why? 41. What acid base imbalance would the nurse expect in a patient with an exacerbation of COPD?
